Provider Demographics
NPI:1598373250
Name:JULMUS, NAOMI DAVID (LPN)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:DAVID
Last Name:JULMUS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 SW 21ST PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-1346
Mailing Address - Country:US
Mailing Address - Phone:239-478-9166
Mailing Address - Fax:
Practice Address - Street 1:26 SW 21ST PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-1346
Practice Address - Country:US
Practice Address - Phone:239-478-9166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5237403163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health